ROCKET SHUTTLE NPI 1457850836

NPI Information

  • NPI: 1457850836
  • Provider Name: ROCKET SHUTTLE
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 2320 GRAND AVE
    WAUKEGAN, IL
    ZIP 60085
  • Phone: (631) 220-7839

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NPI Details

ROCKET SHUTTLE is a dental clinic center in Waukegan, IL. ROCKET SHUTTLE NPI is 1457850836. The provider is registered as an organization entity type.

The provider's business location address is:

2320 GRAND AVE
WAUKEGAN, IL
ZIP 60085-313
Phone: (631) 220-7839

The provider's authorized official is Vidhi Kakadia .
The authorized official title is Manager and has the following contact phone number (630) 800-1137.

The enumeration date for this NPI number is 2/12/2018 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental19029579ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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